VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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Current Inspector:

Inspection Date: July 18, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was conducted on 7/18/2023. The inspector was on site from approximately 12:15 pm-1:24 pm. There were 8 children in care, ranging in age from 12 months to 6 years, with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, care of children, emergencies, caregiver training, preventing the spread of disease and nutrition. A total of 5 child records and 3 caregiver records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on a review of five child records and interview, the provider did not ensure to annually review with the parents, the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: 1. The record of child #1 (date of enrollment: 6/26/21) contained a signed and dated review in June of 2022. The record did not contain a signed review in June of 2023. The record of child #3 (date of enrollment: 6/18/2018) contained a signed review in June of 2022. The record did not contain a signed review in June of 2023. 2. The provider acknowledged that the annual signed acknowledgements of the reviews had not been obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-A
Description:	Based on a review of three caregiver records and interview, the provider did not ensure to maintain a record for one caregiver that contained the required information. Evidence: 1. The record of caregiver #3 (date of employment: 1/17/2023) contained a reference dated 1/20/2023. The provider is required to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The provider acknowledged that one of the two references were obtained after the start of employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-B
Description:	Based on a review of three caregiver records and interview, the provider did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one caregiver at the time of hire that was completed within the last 30 days as required. Evidence: 1. The record of caregiver #3 (date of employment: 1/17/2023) contained a negative tuberculosis screening dated 8/19/2022. 2. The provider acknowledged that the TB screening was not completed within the required time frame.
Plan of Correction:	Not available online. Contact Inspector for more information.